NPI | 1558892281 |
---|---|
Doing Business As | RIVER ROAD COGNITIVE CARE CLINIC |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER Clinical Integration Sr VP 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2017-03-24 |
Last Update Date | 2017-03-24 |